WO1991018553A1 - Needle stop surgical instrument - Google Patents
Needle stop surgical instrument Download PDFInfo
- Publication number
- WO1991018553A1 WO1991018553A1 PCT/US1991/003939 US9103939W WO9118553A1 WO 1991018553 A1 WO1991018553 A1 WO 1991018553A1 US 9103939 W US9103939 W US 9103939W WO 9118553 A1 WO9118553 A1 WO 9118553A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- finger
- needle
- housing
- receiving
- finger housing
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0493—Protective devices for suturing, i.e. for protecting the patient's organs or the operator
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
- A61B2017/00438—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping connectable to a finger
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00805—Treatment of female stress urinary incontinence
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B42/00—Surgical gloves; Finger-stalls specially adapted for surgery; Devices for handling or treatment thereof
Definitions
- This invention relates to a surgical instrument for receiving and guiding a needle during a surgical procedure. More particularly, the invention is a needle stop device for receiving and guiding a surgical needle during a Stamey procedure and similar procedures.
- the instrument is designed to protect the surgeon from needle injury during the procedure, and consequently to protect the surgeon from the risk of infection from Acquired Immune Deficiency Syndrome (AIDS), Hepatitis, and other diseases. BACKGROUND OF THE INVENTION
- the Stamey procedure is a surgical procedure for the treatment of stress urinary incontinence in women. Another similar procedure is the Pereyra procedure.
- the Stamey procedure involves placing sutures in the periurethral tissue at the bladder neck. These sutures are passed up to the re ⁇ tus fascia with the Stamey needle. The sutures are used to elevate the bladder neck to help restore continence. A vaginal incision is made which permits the surgeon to rest a finger against the neck of the bladder.
- the Stamey needle is passed through the rectis fascia posterior to the sy physis pubis and advanced along the posterior surface of the symphysis.
- 3,228,033 to Ames et al. relates to a finger guard for protecting the fingers of a person from injury from a baby diaper pin.
- U.S. Patent No. 3,511,242 to Agnone relates to a surgical finger cot for protecting the fingers of a surgeon from injury from a suturing needle, while finger cot is flexible enough to feel and support a patient's damaged tissue during surgery.
- U.S. Patent No. 1,380,960 to Hmenia relates to a thimble for protecting the finger from injury from a crocheting needle.
- 2,781,760 to Baer relates to a instrument for mitral valve surgery containing a crescentic blade, which instrument is adapted for fitting onto a surgeon's index finger.
- Patent No. 2,847,012 to Eastman relates to a surgical glove for rupturing amniotic membranes.
- U.S. Patent No. 2,811,969 to Schubert relates to another obstetrical instrument for rupturing the amniotic sac.
- the instruments of these types are limited in in the degree of control they offer for receiving and guiding a needle through an incision, or in the degree of protection they afford a surgeon from needle injury.
- the needle stop of my invention is a hand-held instrument composed of three main parts: a finger housing, a needle receiving space, and a handle.
- the finger housing is adapted for receiving a finger.
- the needle receiving space ' At one end of the finger housing is connected the needle receiving space ' for receiving and guiding a needle.
- the handle At the opposite end of the finger housing is connected the handle which is designed such that when a finger is received in the housing, the remaining fingers of the hand can grip the handle.
- the instrument is used in the portion of the Stamey procedure in which the Stamey needle is passed posterior to the symphysis pubis.
- the surgeon inserts a finger, preferably the index finger of the surgeon's nondominant hand, into the finger housing of the needle stop and grasps the handle with the other fingers.
- the needle stop is then inserted into the vaginal incision and advanced posterior to the symphysis.
- the Stamey needle is then advanced with the surgeon's other hand into the needle receiving space of the needle stop. With the needle in the needle stop, the needle can then be directed through the pelvis and out through the vaginal incision without risk of injury to the surgeon.
- Figure 1 is a perspective view showing the needle stop surgical instrument of my invention and how it is held by a hand for use; -
- Figure 2 is a top plan view thereof
- Figure 3 is a bottom plan view thereof
- Figure 4 is a cross-sectional view thereof taken along line 4-4 of Figure 3;
- Figure 5 is a top plan view of another embodiment of my invention, wherein the finger housing has a top portion to completely enclose a finger inserted in the finger housing.
- the needle stop surgical instrument of my invention comprises a finger housing 1 for receiving a finger.
- a handle 2 is connected to one end of the finger housing, the handle being designed such that when one finger of a hand is received in the housing, the remaining fingers of the hand can grip the handle.
- Connected to the finger housing is a needle receiving space 3 having an opening 4 for receiving a needle therethrough.
- the finger housing has, at the end opposite the handle, an endwall 5 for protecting the finger, which is received in the finger housing, from needle injury.
- Extending from the endwall to the handle of the finger housing is a base portion 6 for receiving the finger thereagainst, as well as sidewalls 7 extending along the base portion from end to end.
- the base portion, endwall and sidewalls of the finger housing together define a finger receiving space having an interior surface.
- the needle receiving space is connected to the finger - - - housing at the end of the finger housing proximate to the endwall of the housing.
- the needle receiving space comprises a portion of the exterior surface of the finger housing and a space-defining wall member connected thereto.
- the needle receiving space is substantially in the shape of a cone, with the open base of the cone forming the opening for receiving a needle.
- the needle receiving space is also tapered at the open base end to avoid tissue laceration.
- the handle extends from the finger housing along the longitudinal axis of the finger housing and along a first section which is grippable between the index finger received in the finger housing and the thumb of the hand of the index finger.
- the handle then extends at an angle from the first section along a second section which is grippable between the remaining fingers of the hand and the palm of the hand.
- Fig. 5 shows another embodiment of the needle stop of my invention, wherein the finger housing has a top portion attached to the upper edge surfaces of the sidewalls and endwall of the finger housing to form a hollow finger receiving space, so as to completely enclose a finger inserted into the finger housing.
- the top portion helps to support and retain a finger in the finger housing.
- the needle stop of my invention can be made in a variety of sizes, and' in right-handed as well as left-handed models.
- the finger housing has a total length of 5 cm and an outside diameter of 1.5 cm.
- the handle is approximately 13 cm in total length, of which the first section is 4 cm and the second section is 9 cm, and it is 0.5 cm in outside diameter.
- the needle receiving space has a circular opening of 1.5 cm in diameter and a depth of 3 cm.
- the needle stop of my invention can be made from any suitable material which is sufficiently rigid and which will not be punctured by a needle, e.g., plastic, metal, etc.
- the needle stop is composed of stainless steel.
- the needle stop can be formed of materials such that it can be used as a disposable instrument, e.g., the needle receiving space can be made of stainless steel and the finger housing made of a plastic or other synthetic material.
- the handle can be formed of any rigid material, however, preferably, it is a maleable material which the user can bend to a comfortable position, e.g., a plastic coated wire or soft metal.
- the top portion of the finger housing is composed of a transparent resilient material. However, the top portion is not restricted to this material, but it can be composed of other types of flexible or resilient materials, or even a rigid material such as the same material composing the finger housing, such that the finger housing can be formed in one piece. The top portion is seen to help support and retain a finger, and fingers of different sizes, which are inserted in the housing.
- the needle receiving space can include a means for retaining and holding a needle inserted therein.
- a surgeon can protect his or her finger from needle laceration or puncture during a Stamey or similar procedure, thus eliminating the risk of contracting a serious infectious disease like Hepatitis B or AIDS.
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/533,529 US4985038A (en) | 1990-06-05 | 1990-06-05 | Needle stop surgical instrument |
US533,529 | 1990-06-05 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1991018553A1 true WO1991018553A1 (en) | 1991-12-12 |
Family
ID=24126359
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1991/003939 WO1991018553A1 (en) | 1990-06-05 | 1991-06-04 | Needle stop surgical instrument |
Country Status (5)
Country | Link |
---|---|
US (1) | US4985038A (en) |
EP (1) | EP0485581A4 (en) |
JP (1) | JPH05500766A (en) |
CA (1) | CA2064082A1 (en) |
WO (1) | WO1991018553A1 (en) |
Families Citing this family (58)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0466632B1 (en) * | 1990-07-13 | 1995-11-02 | Javier Botet Del Castillo | Protective instrument for suturing |
US5415184A (en) * | 1992-07-16 | 1995-05-16 | Peck; Edward F. | Finger puncture protector and method |
US5507041A (en) * | 1994-07-01 | 1996-04-16 | Wright; Robert C. | Needle holding apparatus and method of use |
US5522821A (en) * | 1995-04-06 | 1996-06-04 | Brown; Randall L. | Apparatus for grasping a suturing device to ease withdrawal |
US5496337A (en) * | 1995-04-06 | 1996-03-05 | Brown; Randall L. | Device for gauging suture depth |
US5997554A (en) * | 1995-06-14 | 1999-12-07 | Medworks Corporation | Surgical template and surgical method employing same |
US6042583A (en) * | 1995-06-14 | 2000-03-28 | Medworks Corporation | Bone anchor-insertion tool and surgical method employing same |
US5718717A (en) | 1996-08-19 | 1998-02-17 | Bonutti; Peter M. | Suture anchor |
US6475230B1 (en) * | 1997-08-01 | 2002-11-05 | Peter M. Bonutti | Method and apparatus for securing a suture |
US6045551A (en) | 1998-02-06 | 2000-04-04 | Bonutti; Peter M. | Bone suture |
US6110186A (en) * | 1998-09-23 | 2000-08-29 | Rizvi; Syed | Surgical finger protector and implement |
US6447516B1 (en) | 1999-08-09 | 2002-09-10 | Peter M. Bonutti | Method of securing tissue |
US6368343B1 (en) | 2000-03-13 | 2002-04-09 | Peter M. Bonutti | Method of using ultrasonic vibration to secure body tissue |
US7104996B2 (en) | 2000-01-14 | 2006-09-12 | Marctec. Llc | Method of performing surgery |
US6635073B2 (en) | 2000-05-03 | 2003-10-21 | Peter M. Bonutti | Method of securing body tissue |
US7635390B1 (en) | 2000-01-14 | 2009-12-22 | Marctec, Llc | Joint replacement component having a modular articulating surface |
US6702821B2 (en) | 2000-01-14 | 2004-03-09 | The Bonutti 2003 Trust A | Instrumentation for minimally invasive joint replacement and methods for using same |
US6770078B2 (en) | 2000-01-14 | 2004-08-03 | Peter M. Bonutti | Movable knee implant and methods therefor |
US6152337A (en) * | 2000-02-10 | 2000-11-28 | Petree; Rebecca I. | Fabric pinning system |
US6807681B2 (en) | 2000-11-21 | 2004-10-26 | Sorrels M Kevin | Protective guards for finger and thumbs |
US7708741B1 (en) | 2001-08-28 | 2010-05-04 | Marctec, Llc | Method of preparing bones for knee replacement surgery |
US6719765B2 (en) | 2001-12-03 | 2004-04-13 | Bonutti 2003 Trust-A | Magnetic suturing system and method |
JP2006508777A (en) * | 2002-12-09 | 2006-03-16 | イー.ディー. メディカル リミテッド | Device for temporarily covering the end of the sharps of a surgical instrument |
GB0228709D0 (en) * | 2002-12-09 | 2003-01-15 | Mcnicholl Brian | A device for temporarily shielding the end of a surgical instrument sharp |
US7789885B2 (en) * | 2003-01-15 | 2010-09-07 | Biomet Manufacturing Corp. | Instrumentation for knee resection |
US7837690B2 (en) * | 2003-01-15 | 2010-11-23 | Biomet Manufacturing Corp. | Method and apparatus for less invasive knee resection |
US7887542B2 (en) * | 2003-01-15 | 2011-02-15 | Biomet Manufacturing Corp. | Method and apparatus for less invasive knee resection |
US8551100B2 (en) | 2003-01-15 | 2013-10-08 | Biomet Manufacturing, Llc | Instrumentation for knee resection |
US7488324B1 (en) | 2003-12-08 | 2009-02-10 | Biomet Manufacturing Corporation | Femoral guide for implanting a femoral knee prosthesis |
US7695479B1 (en) | 2005-04-12 | 2010-04-13 | Biomet Manufacturing Corp. | Femoral sizer |
US9339278B2 (en) | 2006-02-27 | 2016-05-17 | Biomet Manufacturing, Llc | Patient-specific acetabular guides and associated instruments |
US9113971B2 (en) | 2006-02-27 | 2015-08-25 | Biomet Manufacturing, Llc | Femoral acetabular impingement guide |
US9345548B2 (en) | 2006-02-27 | 2016-05-24 | Biomet Manufacturing, Llc | Patient-specific pre-operative planning |
US10278711B2 (en) | 2006-02-27 | 2019-05-07 | Biomet Manufacturing, Llc | Patient-specific femoral guide |
US8070752B2 (en) * | 2006-02-27 | 2011-12-06 | Biomet Manufacturing Corp. | Patient specific alignment guide and inter-operative adjustment |
US20150335438A1 (en) | 2006-02-27 | 2015-11-26 | Biomet Manufacturing, Llc. | Patient-specific augments |
US9918740B2 (en) | 2006-02-27 | 2018-03-20 | Biomet Manufacturing, Llc | Backup surgical instrument system and method |
US7780672B2 (en) * | 2006-02-27 | 2010-08-24 | Biomet Manufacturing Corp. | Femoral adjustment device and associated method |
US9289253B2 (en) | 2006-02-27 | 2016-03-22 | Biomet Manufacturing, Llc | Patient-specific shoulder guide |
US8603180B2 (en) | 2006-02-27 | 2013-12-10 | Biomet Manufacturing, Llc | Patient-specific acetabular alignment guides |
US8591516B2 (en) | 2006-02-27 | 2013-11-26 | Biomet Manufacturing, Llc | Patient-specific orthopedic instruments |
US9907659B2 (en) | 2007-04-17 | 2018-03-06 | Biomet Manufacturing, Llc | Method and apparatus for manufacturing an implant |
US9173661B2 (en) | 2006-02-27 | 2015-11-03 | Biomet Manufacturing, Llc | Patient specific alignment guide with cutting surface and laser indicator |
US8407067B2 (en) | 2007-04-17 | 2013-03-26 | Biomet Manufacturing Corp. | Method and apparatus for manufacturing an implant |
US7704253B2 (en) * | 2006-03-06 | 2010-04-27 | Howmedica Osteonics Corp. | Single use resection guide |
US7695520B2 (en) * | 2006-05-31 | 2010-04-13 | Biomet Manufacturing Corp. | Prosthesis and implementation system |
US9795399B2 (en) | 2006-06-09 | 2017-10-24 | Biomet Manufacturing, Llc | Patient-specific knee alignment guide and associated method |
DK201070272A (en) * | 2009-10-19 | 2011-04-20 | Coloplast As | Finger guided suture fixation system |
US8465503B2 (en) * | 2009-10-19 | 2013-06-18 | Coloplast A/S | Finger guided suture fixation system |
DK201070270A (en) * | 2009-10-19 | 2011-04-20 | Coloplast As | Finger guided suture fixation system |
US8758371B2 (en) * | 2009-10-20 | 2014-06-24 | Coloplast A/S | Method of fixing a suture to tissue |
US9968376B2 (en) | 2010-11-29 | 2018-05-15 | Biomet Manufacturing, Llc | Patient-specific orthopedic instruments |
US9241745B2 (en) | 2011-03-07 | 2016-01-26 | Biomet Manufacturing, Llc | Patient-specific femoral version guide |
US8769714B2 (en) | 2011-10-13 | 2014-07-08 | Steven D. Meltzner | Digit tip protection device |
US8443462B1 (en) * | 2011-11-08 | 2013-05-21 | Jamelle Brian Eugene | Athletic grip enhancing finger gloves |
AU2017323646A1 (en) | 2016-09-09 | 2019-03-14 | Kevin M. Sorrels | Protective gloves and method of making protective gloves |
US10743595B2 (en) * | 2016-09-22 | 2020-08-18 | The Ford Meter Box Company, Inc. | Finger guard |
US10722310B2 (en) | 2017-03-13 | 2020-07-28 | Zimmer Biomet CMF and Thoracic, LLC | Virtual surgery planning system and method |
Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1380960A (en) * | 1920-03-23 | 1921-06-07 | Hmenia Veronica | Rubber thimble |
US2462208A (en) * | 1945-07-11 | 1949-02-22 | Myron T Cole | Finger cot |
US2781760A (en) * | 1955-05-17 | 1957-02-19 | Austin R Baer | Surgical instrument |
US2811969A (en) * | 1955-10-11 | 1957-11-05 | William M Shubert | Obstetrical instrument |
US2847012A (en) * | 1954-10-13 | 1958-08-12 | Robert L Eastman | Device for rupturing the amniotic membranes |
US3228033A (en) * | 1963-03-18 | 1966-01-11 | Ames Rudolph | Finger guard |
US3511242A (en) * | 1967-12-29 | 1970-05-12 | Frank A Agnone | Surgical finger cot |
US3741211A (en) * | 1971-09-22 | 1973-06-26 | W Vreeland | Finger mounted needle assembly with manifold |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2588528A (en) * | 1948-07-27 | 1952-03-11 | California Thimble Corp | Finger shaped thimble |
US3587591A (en) * | 1968-11-12 | 1971-06-28 | Raymond D Satterwhite | Obstetrical instrument for rupturing the amniotic sac |
US3735760A (en) * | 1971-01-20 | 1973-05-29 | W Vreeland | Needle apparatus |
US4991592A (en) * | 1989-12-04 | 1991-02-12 | Christ Howard N | Device for obtaining tissue sample in performing a biopsy |
-
1990
- 1990-06-05 US US07/533,529 patent/US4985038A/en not_active Expired - Fee Related
-
1991
- 1991-06-04 EP EP19910910977 patent/EP0485581A4/en not_active Withdrawn
- 1991-06-04 WO PCT/US1991/003939 patent/WO1991018553A1/en not_active Application Discontinuation
- 1991-06-04 CA CA002064082A patent/CA2064082A1/en not_active Abandoned
- 1991-06-04 JP JP3510998A patent/JPH05500766A/en active Pending
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1380960A (en) * | 1920-03-23 | 1921-06-07 | Hmenia Veronica | Rubber thimble |
US2462208A (en) * | 1945-07-11 | 1949-02-22 | Myron T Cole | Finger cot |
US2847012A (en) * | 1954-10-13 | 1958-08-12 | Robert L Eastman | Device for rupturing the amniotic membranes |
US2781760A (en) * | 1955-05-17 | 1957-02-19 | Austin R Baer | Surgical instrument |
US2811969A (en) * | 1955-10-11 | 1957-11-05 | William M Shubert | Obstetrical instrument |
US3228033A (en) * | 1963-03-18 | 1966-01-11 | Ames Rudolph | Finger guard |
US3511242A (en) * | 1967-12-29 | 1970-05-12 | Frank A Agnone | Surgical finger cot |
US3741211A (en) * | 1971-09-22 | 1973-06-26 | W Vreeland | Finger mounted needle assembly with manifold |
Non-Patent Citations (1)
Title |
---|
See also references of EP0485581A4 * |
Also Published As
Publication number | Publication date |
---|---|
US4985038A (en) | 1991-01-15 |
EP0485581A4 (en) | 1993-04-07 |
EP0485581A1 (en) | 1992-05-20 |
JPH05500766A (en) | 1993-02-18 |
CA2064082A1 (en) | 1991-12-06 |
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